How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $588.84 | Facility | None | $398.11 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $831.76 | Professional | None | $398.11 | $588.84 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $4,073.80 | Facility | None | $891.25 | $891.25 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $707.95 | Professional | None | $478.63 | $537.03 | $707.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $363.08 Typical High $602.56 | Professional | UE · Used equipment | $354.81 | $363.08 | $602.56 |
BCBS Kansas City Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $891.25 | Professional | None | $524.81 | $524.81 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $660.69 | Facility | None | $588.84 | $588.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $831.76 Typical High $4,073.80 | Facility | None | $398.11 | $831.76 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $5,248.07 | Professional | None | $331.13 | $446.68 | $5,248.07 |
United Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $1,071.52 | Facility | None | $181.97 | $398.11 | $1,071.52 |
United Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $616.60 | Professional | None | $309.03 | $426.58 | $616.60 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $295.12 Typical High $407.38 | Professional | 52 · Reduced service | $199.53 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $117.49 Typical High $165.96 | Professional | 53 · Discontinued | $79.43 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $87.10 Typical High $123.03 | Professional | 55 · Aftercare only | $58.88 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $58.88 Typical High $83.18 | Professional | 56 · Pre-op care only | $39.81 | $58.88 | $83.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $478.63 | Professional | RR · Rental | $47.86 | $47.86 | $478.63 |
Where Missouri sits
The same service costs 2.5 times more in Montana than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 31st of 51
$501
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.